75세 이상의 고령 요실금 환자에서 무장력 폐쇄공 테이프 시술의 결과와 합병증

Abstract

Objective: Despite controversies, aging seems to be perceived as relevant to failure in Midurethral sling surgery for female stress urinary incontinence (SUI). However, few reports have addressed the effect of Midurethral sling surgery on elderly female patients. The aim of this study is to evaluate the outcome of Midurethral sling surgery among elderly female patients with age over 75 years. Methods: Patients with SUI underwent Midurethral sling surgery including TOT, TVT from 2005 to 2011. Among these patients, 30 patients were over 75 years old; 468 patients were under 75 years old. Medical records were reviewed retrospectively to clarify whether Midurethral sling surgery was effective in this age group. The primary end point is subjective symptom recurrence. “Cure” is defined as no urinary symptom at all in any circumstances. “No cure” is defined as any urinary symptom or post op complication. Results: The median age of the participating patients was 77.67 ± 2.23 among 30 patients over 75 years old, and 55.68 ± 9.66 among 468 patients under 75 years old. Frequency, Urethral hypermobility, cystoscope finding, trabeculation rate were distinguishable between the two groups. Cure and no cure rate were not (e.i. 89.53% were cure and 10.47% were no cure in patients over 75 years old; 90% were cure and 10% were no cure in patients under 75 years old). No statistically meaningful gap exists between the success rate of Midurethral sling surgery in elderly women over 75 years old and that of patient groups under 75 years old which had been studied in other articles. Conclusion: SUI may impair the quality of life by limiting lifestyle and putting a barrier to social life, as well as exacerbate female psychological morbidity. Midurethral sling surgery including TOT, TVT is an effective treatment even among elderly women. As the population of elderly women and women with SUI symptom is on a rise, the study about the elderly female group should be assessed and further study be needed.